You might try very warm sitz baths. There are no guarantees, but you should be able to tell pretty quickly if they help you feel better. Good luck!

Epsom salts can also help relax the muscles.  I find that a soak in a hot bath with epsom salts relaxes all my muscles.  Best before bed or a nap.  Also, massaging the groin area might help.

@NikiasVW Hi there.  Any changes, or still bad?  I know it's only been a couple days, but when in pain those days can seem like centuries.

Hi, thx for asking!

Somewhat better, tried some exercises and did help a little bit, But can't stop thinking I also have some form of prolapse... Specialised physio on tuesday..

I have the same, at times quite awful. The top two things that have helped me the most:

1.  Go to a physical therapist that is qualified to dry needle the pelvic floor.  It made a world of difference for me. I moved last year and can’t find anyone local, which is terribly disappointing  

2. Buy a squatty potty. They are sold on Amazon and other online sources.  Also incredibly helpful.

I've seen comments from several members here for whom a stream of water from a bidet, portable bidet or squirt bottle seems to aid in passing stool for those who struggle. I don't have the same problem that you do - I have had prolapse though. The stream of water trick  has helped me, I assume because it does trigger muscle relaxation.

@NikiasVW posted:

Hi, thx for asking!

Somewhat better, tried some exercises and did help a little bit, But can't stop thinking I also have some form of prolapse... Specialised physio on tuesday..

Hi there, curious to hear how you’re doing? I’m going through something similar currently

Female here - pelvic floor therapy helped me a lot. I too had trouble relaxing. Hope your first appointment went well.

https://www.j-pouch.org/topic/...8#724729909443105758

Hi, I'm doing so much better nowadays, out and about living life! Still trying to figure out what foods work or don't for me. But back at work and sports. Most importantly I can finally show up like I want for my litle daughter ❤️

Love to hear that!

Does anyone have experience with Botox to help relieve symptoms?

Just confirmed through manometry I have similar pelvic floor issues.

Biofeedback has a long waitlist, and I'm looking for some relief until then. Currently working with Dr. Kiran and Dr. Shen at Columbia Presbyterian in NYC and am scheduled for a 50% Botox injection next week.

Any help is appreciated, thank you.